Carrington Place At Wytheville - Birdmont Center - Wytheville Nursing Home
General Information
UPDATEFederal Provider Number
495349
Provider Name
CARRINGTON PLACE AT WYTHEVILLE - BIRDMONT CENTER
Provider Address
990 HOLSTON RD
WYTHEVILLE, VA 24382
WYTHEVILLE, VA 24382
Provider Phone Number
(276) 228-5595
Provider SSA County
980
Provider County Name
Wythe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
137
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BIRDMONT HEALTH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-11-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49008
Reported LPN Staffing Hours per Resident per Day
0.72540
Reported RN Staffing Hours per Resident per Day
1.42103
Reported Licensed Staffing Hours per Resident per Day
2.14643
Reported Total Nurse Staffing Hours per Resident per Day
4.63651
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05992
Expected CNA Staffing Hours per Resident per Day
2.30627
Expected LPN Staffing Hours per Resident per Day
0.63794
Expected RN Staffing Hours per Resident per Day
1.16314
Expected Total Nurse Staffing Hours per Resident per Day
4.10735
Adjusted CNA Staffing Hours per Resident per Day
2.64926
Adjusted LPN Staffing Hours per Resident per Day
0.94379
Adjusted RN Staffing Hours per Resident per Day
0.91287
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55021
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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